H32

H32: Chorioretinal disorders in diseases classified elsewhere

Billable / specific codeICD-10-CM

H32 is a billable, specific ICD-10-CM code for chorioretinal disorders in diseases classified elsewhere. It is valid for submission on a claim.

Check H32 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

chorioretinitis (in):
toxoplasmosis (acquired) (B58.01)
tuberculosis (A18.53)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
congenital toxoplasmosis (P37.1)
histoplasmosis (B39.-)
leprosy (A30.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H32 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53008Billing and Coding: Intraocular Bevacizumab
A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56551Billing and Coding: Visual Fields Testing

Code history

Unchanged in every release from FY2024 to FY2027.